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Sara Zivich — Founding Injector and Master Trainer, Monti Institute
In Memoriam

Sara Zivich

[Credentials]

“She did not simply practice aesthetics — she practiced care. Every treatment she gave was an act of precision, intention, and quiet generosity. This center exists because she believed in it first.”

The Monti Institute Infusion Center is dedicated, in perpetuity, to Sara Zivich — our founding injector, master trainer, and the irreplaceable visionary who shaped the soul of this practice. She built something rare: a clinical environment where artistry and integrity were never in tension. Her presence shaped every protocol we follow, every standard we hold, and every patient who has passed through these doors.

The frosted glass at the entrance of this center bears her portrait and name — not as a memorial, but as a permanent reminder of what medicine looks like when it is practiced with love.

With gratitude and love, The Monti Institute Team
Monti Institute · Reno, NV

Infusion Center

Precision-dosed, clinician-supervised infusion therapies — designed to treat neurological and physiological conditions from the inside out, in an environment built for calm.

Private Treatment Suites
MD-Led Clinical Oversight
5 Infusion Modalities
Tailored Protocols Per Patient

What we offer

Every protocol is developed with your physician before your first appointment — dose, duration, and frequency calibrated to your neurology and goals.

01

Ketamine Infusion Therapy

Sub-anesthetic ketamine for treatment-resistant depression, anxiety, PTSD, and chronic pain. Protocols follow ASAM and AAPM guidelines — typically a series of six infusions over two to three weeks, with maintenance sessions as clinically indicated.

  • Depression
  • PTSD
  • Anxiety
  • Chronic Pain
  • OCD
02

Migraine & Headache Infusions

Multi-agent IV protocols for acute migraine abort and intractable headache — including DHE-45, magnesium sulfate, antiemetics, and hydration. Designed for patients who have not responded adequately to oral therapies or are in status migrainosus.

  • Acute Migraine
  • Cluster Headache
  • Status Migrainosus
  • Rebound Headache
03

IV Nutrient Therapy

High-dose intravenous micronutrient formulations — including Myers’ Cocktail, vitamin C, B-complex, zinc, and glutathione — for immune support, energy optimization, and recovery. Blends are physician-selected based on your lab panel and health goals.

  • Energy & Fatigue
  • Immune Support
  • Recovery
  • Hydration
04

NAD+ Infusions

Nicotinamide adenine dinucleotide administered intravenously to support cellular energy metabolism, cognitive clarity, and neurological resilience. Often used as an adjunct to ketamine protocols or alongside addiction recovery programs.

  • Cognitive Function
  • Cellular Recovery
  • Anti-Aging
  • Addiction Support
05

Custom & Compounded Drips

Physician-designed formulations prepared at an accredited compounding pharmacy — combining agents from multiple categories into a single infusion tailored to your presenting symptoms, labs, and treatment history. Developed in consultation only.

  • Physician-Designed
  • Lab-Guided
  • Multi-Agent
  • By Consultation

What to expect

I

Intake & consultation

A physician reviews your medical history, current medications, and goals. Lab work may be ordered before your first session. No infusion begins without a clinical clearance.

II

Protocol design

Your physician builds a custom infusion plan — selecting agents, dose, rate, and session cadence. For ketamine, integration support and preparation guidance are included.

III

Your infusion session

Administered in a private, low-stimulus suite. A clinician monitors vitals throughout. Sessions range from 45 minutes to four hours depending on the modality.

IV

Follow-up & continuity

After each session your care team reviews response and adjusts the plan as needed. Maintenance schedules are built around your clinical trajectory, not a fixed package.

The infusion suite is designed to disappear — quiet light, still air, no clinical noise. The only thing present is the therapy.

The Monti Institute Infusion Center, Reno
Environment

Private, low-stimulus treatment suites with adjustable lighting and sound.

Supervision

Physician-led team present throughout every infusion. Vitals monitored continuously.

Privacy

No shared infusion bays. Your session, your space — no other patients present.

Schedule your infusion appointment

Infusion appointments begin with a physician consultation. Use the link below to request a time — our team will confirm your slot and send pre-appointment instructions within one business day.

Book an appointment

For urgent migraine infusions or same-day needs, call the clinic directly.

The content on this website is for informational purposes only and does not constitute medical advice, diagnosis, or treatment, and does not establish a provider-patient relationship. Always consult a qualified healthcare professional regarding your individual health circumstances. In a medical emergency, call 911.  ·  Full Medical Disclaimer  ·  Privacy Policy